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Contact Information

ROGER PACKARD, DO
601 JOHN ST
SUITE N1100
KALAMAZOO, MI49007-5341
 Phone: 269-341-7887
 Fax: 269-341-6178
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ROGER PACKARD · (Male)

NPI Number 1861661548
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/26/2008
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101021485
  • PA License # OT012687
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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